DR. SUZANNE C LI (NPI# 1295789147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295789147 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE C LI |
| Credential | MD |
| Practice Address |
30 Prospect Ave Imus 348 Hackensack NJ 07601-1914 |
| Practice Telephone | 5519965306 |
| Practice Fax Number | 2019969815 |
| Mailing Telephone | 5519965306 |
| Mailing Fax Number | 2019969815 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
25MA067968 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ STATE MEDICAL LICENSE | 25MA067968 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164994893 | Suzanne Li | Pharmacist | 721 9th Ave, New York, NY 10019-7256 | 2018-12-19 |
| 1174685770 | Suzanne G Li | Ophthalmology | 2100 Webster St, #209, San Francisco, CA 94115-2375 | 2006-12-14 |
| Street Address |
30 PROSPECT AVE IMUS 348 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497952022 | Anna Carmela Sagcal Gironella | Pediatrics | 30 Prospect Avenue, 3 Wfan, Hackensack, NJ 07601-1915 | 2007-06-28 |
| 1487608337 | Jennifer Weiss | Pediatrics | 30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601-1914 | 2006-05-22 |
| 1417900135 | Yukiko Kimura | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285921395 | Chan Rodney Beals | Pediatrics | 514 Kimball Ave, Westfield, NJ 07090-2445 | 2011-07-10 |
| 1659916138 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1285052662 | Marla Guzman | Pediatrics | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-04-02 |
| 1619238383 | Sarah Sertial Paul | Pediatrics | 100 Madison Ave, Farris Building, 4th Floor, Morristown, NJ 07960 | 2012-05-30 |
| 1962648832 | Jaya Srinivasan-mehta | Pediatrics | 703 Main St, St. Joseph's Children's Hospital- Rm X609, Paterson, NJ 07503-2621 | 2008-12-26 |
| 1932375896 | Evelyn David | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-05-01 |
| 1699859082 | Rutgers Health-rwj Pediatric Rheumatology | Pediatrics | 89 French Street, Suite 2300, New Brunswick, NJ 08901 | 2006-10-24 |
| 1326122565 | Lakshmi N. Moorthy | Pediatrics | 89 French Street, Suite 2300, New Brunswick, NJ 08901 | 2006-10-24 |
| 1376638395 | Children's Healthcare Associates of New Jersey PC | Pediatrics | 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 | 2006-10-04 |
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. SUZANNE C LI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.